• Our Providers
    • Peter Maurice, MD
    • David Santos, MD
    • David Green, MD
    • Chad Ruffin, MD
    • Audiologists
  • Our Services
    • Nasal & Sinus Treatment
    • Allergy Testing & Treatment
    • Sleep Apnea & Snoring
    • Pediatric ENT
    • Otology
    • Head & Neck Surgery and Cancer Care
    • Throat, Voice & Swallowing Disorders
    • Facial Plastics
  • Hearing Aids
  • Patient Resources
    • New Patient Information
    • New Patient Forms
    • Pre & Post Operative Instructions
    • Referring Providers
    • Insurance
  • Locations
    • Our Clinic
    • Outpatient Surgery
  • Make An Appointment
  • Pay Online
Proliance South Seattle Otolaryngology
  • Our Providers
    • Peter Maurice, MD
    • David Santos, MD
    • David Green, MD
    • Chad Ruffin, MD
    • Audiologists
  • Our Services
    • Nasal & Sinus Treatment
    • Allergy Testing & Treatment
    • Sleep Apnea & Snoring
    • Pediatric ENT
    • Otology
    • Head & Neck Surgery and Cancer Care
    • Throat, Voice & Swallowing Disorders
    • Facial Plastics
  • Hearing Aids
  • Patient Resources
    • New Patient Information
    • New Patient Forms
    • Pre & Post Operative Instructions
    • Referring Providers
    • Insurance
  • Locations
    • Our Clinic
    • Outpatient Surgery
  • Make An Appointment
  • Pay Online
Referring Providers
If you are a referring provider looking for information about Proliance South Seattle Otolaryngology, the form below can assist you in helping your patient contact and locate our office.  We appreciate the trust you put in us to care for your valued patients and we remain as committed to excellence in patient services and medical care as we were when we opened our doors more than 60 years ago.  Please click below to find the referral form and map you can use for your patient and don't hesitate to call us if you need any more information or additional paperwork.  Finally, if you just need to talk to one of our physicians about your patient, please call 206-242-3696 and we will immediately put you in touch with one of our doctors. 

  • Referral form PDF
Phone: (206) 242-3696
​Address: 16259 Sylvester Rd SW 
                 Suite #505
                 Burien, WA 98166

​Proudly serving West Seattle, White Center, Burien, Normandy Park, Des Moines and the Greater South Sound Region since 1963

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© 2021 Proliance South Seattle Otolaryngology
  • Our Providers
    • Peter Maurice, MD
    • David Santos, MD
    • David Green, MD
    • Chad Ruffin, MD
    • Audiologists
  • Our Services
    • Nasal & Sinus Treatment
    • Allergy Testing & Treatment
    • Sleep Apnea & Snoring
    • Pediatric ENT
    • Otology
    • Head & Neck Surgery and Cancer Care
    • Throat, Voice & Swallowing Disorders
    • Facial Plastics
  • Hearing Aids
  • Patient Resources
    • New Patient Information
    • New Patient Forms
    • Pre & Post Operative Instructions
    • Referring Providers
    • Insurance
  • Locations
    • Our Clinic
    • Outpatient Surgery
  • Make An Appointment
  • Pay Online